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Individual
CHARLES BENSON
Active
Individual
CHARLES BENSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
B1312081522
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
953169731
EBONY COUNSELING CENTER
CA
Enumeration date
06/04/2014
Last updated
12/30/2014
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